{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:22:26Z","timestamp":1777944146942,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2020,8,4]],"date-time":"2020-08-04T00:00:00Z","timestamp":1596499200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Society and College of Radiographers","award":["College of Radiographers Industry Partnership Sche"],"award-info":[{"award-number":["College of Radiographers Industry Partnership Sche"]}]},{"name":"NIHR CLAHRC","award":["NIHR IS-CLA-0113-10020"],"award-info":[{"award-number":["NIHR IS-CLA-0113-10020"]}]},{"name":"NIHR Y&H PSTRC"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ultrasound"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Studies indicate there is a need to improve the delivery of unexpected news via obstetric ultrasound, but there have been few advances in this area. One factor preventing improvement has been a lack of consensus regarding the appropriate phrases and behaviours which sonographers and ultrasound practitioners should use in these situations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To develop consensus guidelines for unexpected news delivery in Early Pregnancy Unit and Fetal Anomaly Screening Programme NHS settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A workshop was conducted to identify priorities and reach consensus on areas of contention. Contributors included interdisciplinary healthcare professionals, policy experts, representatives from third-sector organisations, lay experts and academic researchers ( n\u2009=\u200928). Written and verbal feedback was used to draft initial guidance which was then circulated amongst the wider writing group ( n\u2009=\u200939). Revisions were undertaken until consensus was reached.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Consensus guidelines were developed outlining the behaviours and phrases which should be used during scans where unexpected findings are identified. Specific recommendations included that: honest and clear communication should be prioritised, even with uncertain findings; technical terms should be used, but these should be written down together with their lay interpretations; unless expectant parents use other terminology (e.g. \u2018foetus\u2019), the term \u2018baby\u2019 should be used as a default, even in early pregnancy; at the initial news disclosure, communication should focus on information provision. Expectant parents should not be asked to make decisions during the scan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These recommendations can be used to develop and improve news delivery interventions in obstetric ultrasound settings. The full guidelines can be accessed online as supplemental material and at https:\/\/doi.org\/10.5518\/100\/24 .<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1742271x20935911","type":"journal-article","created":{"date-parts":[[2020,8,4]],"date-time":"2020-08-04T19:08:22Z","timestamp":1596568102000},"page":"235-245","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":23,"title":["UK consensus guidelines for the delivery of unexpected news in obstetric ultrasound: The ASCKS framework"],"prefix":"10.1177","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0431-013X","authenticated-orcid":false,"given":"Judith","family":"Johnson","sequence":"first","affiliation":[{"name":"School of Psychology, University of Leeds, Leeds, UK"},{"name":"Yorkshire Quality and Safety Research Group, Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford Royal Infirmary, Bradford, UK"},{"name":"University of New South Wales, Sydney, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"Arezina","sequence":"additional","affiliation":[{"name":"Specialist Science Education Department (SSED), Leeds Institute of Cardiovascular and Metabolic Medicine, School of Medicine, Worsley Building, University of Leeds, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0466-0324","authenticated-orcid":false,"given":"Liz","family":"Tomlin","sequence":"additional","affiliation":[{"name":"Bradford Teaching Hospitals NHS Foundation Trust, Bradford Royal Infirmary, Bradford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siobhan","family":"Alt","sequence":"additional","affiliation":[{"name":"NHS Fetal Anomaly Screening Programme, Public Health England, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jon","family":"Arnold","sequence":"additional","affiliation":[{"name":"Tiny Tickers, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Bailey","sequence":"additional","affiliation":[{"name":"University Hospitals Southampton NHS Foundation Trust, Southampton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannah","family":"Beety","sequence":"additional","affiliation":[{"name":"Nest Independent Midwifery, Kirkstall, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6751-5901","authenticated-orcid":false,"given":"Ruth","family":"Bender-Atik","sequence":"additional","affiliation":[{"name":"The Miscarriage Association, Wakefield, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Louise","family":"Bryant","sequence":"additional","affiliation":[{"name":"Division of Psychological & Social Medicine, Leeds Institute of Health Sciences, University of Leeds, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jen","family":"Coates","sequence":"additional","affiliation":[{"name":"SANDS (Stillbirth and Neonatal Death Society), London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sam","family":"Collinge","sequence":"additional","affiliation":[{"name":"University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo","family":"Fishburn","sequence":"additional","affiliation":[{"name":"Northumbria Healthcare NHS Foundation Trust, North Tyneside General Hospital, North Shields, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"Fisher","sequence":"additional","affiliation":[{"name":"ARC (Antenatal Results and Choices), London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Fowler","sequence":"additional","affiliation":[{"name":"SOFT UK (Support Organisation for Trisomy 13\/18), West Midlands, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tracey","family":"Glanville","sequence":"additional","affiliation":[{"name":"Leeds Teaching Hospitals Trust, Department of Fetal and Maternal Medicine, Leeds General Infirmary, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julian","family":"Hallett","sequence":"additional","affiliation":[{"name":"The Down\u2019s Syndrome Association, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ailith","family":"Harley-Roberts","sequence":"additional","affiliation":[{"name":"Sunshine & Smiles \u2013 Leeds Down Syndrome Network, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gill","family":"Harrison","sequence":"additional","affiliation":[{"name":"Society and College of Radiographers, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Horwood","sequence":"additional","affiliation":[{"name":"Independent Lay Expert, Leeds, West Yorkshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catriona","family":"Hynes","sequence":"additional","affiliation":[{"name":"College of Health, Wellbeing and Life Sciences, Sheffield Hallam University, Sheffield, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lindsay","family":"Kimm","sequence":"additional","affiliation":[{"name":"Public Health England (PHE) Screening, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4304-1465","authenticated-orcid":false,"given":"Alison","family":"McGuinness","sequence":"additional","affiliation":[{"name":"Mid Yorkshire Hospitals NHS Trust, West Yorkshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucy","family":"Potter","sequence":"additional","affiliation":[{"name":"MVP (Maternity Voices Partnership), Leeds, UK"},{"name":"Women\u2019s Health Matters, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liane","family":"Powell","sequence":"additional","affiliation":[{"name":"NHS Fetal Anomaly Screening Programme, Public Health England, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janelle","family":"Ramsay","sequence":"additional","affiliation":[{"name":"Independent Lay Expert, Huddersfield, West Yorkshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pieta","family":"Shakes","sequence":"additional","affiliation":[{"name":"School of Health and Human Sciences, Southern Cross University, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roxanne","family":"Sicklen","sequence":"additional","affiliation":[{"name":"Royal Free London NHS Foundation Trust, Barnet Hospital, Barnet, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Sims","sequence":"additional","affiliation":[{"name":"St Mary\u2019s Hospital, Manchester University Foundation Trust, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomasina","family":"Stacey","sequence":"additional","affiliation":[{"name":"University of Huddersfield, Huddersfield, UK"},{"name":"Calderdale and Huddersfield Foundation Trust, University of Huddersfield, Huddersfield, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anushka","family":"Sumra","sequence":"additional","affiliation":[{"name":"School of Health Sciences, Birmingham City University, Edgbaston, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9453-1790","authenticated-orcid":false,"given":"Samantha","family":"Thomas","sequence":"additional","affiliation":[{"name":"Sydney School of Health Sciences, Faculty of Medicine and Health, University of Sydney, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Todd","sequence":"additional","affiliation":[{"name":"Department of Health and Social Care, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7781-0851","authenticated-orcid":false,"given":"Jacquie","family":"Torrington","sequence":"additional","affiliation":[{"name":"Division of Midwifery and Radiography, School of Health Sciences, City, University of London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Trueman","sequence":"additional","affiliation":[{"name":"The Miscarriage Association, Wakefield, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorraine","family":"Walsh","sequence":"additional","affiliation":[{"name":"Birmingham Children\u2019s Hospital, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine","family":"Watkins","sequence":"additional","affiliation":[{"name":"Leeds Teaching Hospital Trust, Leeds General Infirmary, Antenatal Clinic, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gill","family":"Yaz","sequence":"additional","affiliation":[{"name":"SHINE (Spina Bifida, Hydrocephalus, Information, Networking, Equality), Peterborough, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natasha K","family":"Hardicre","sequence":"additional","affiliation":[{"name":"Yorkshire Quality and Safety Research Group, Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford Royal Infirmary, Bradford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,8,4]]},"reference":[{"key":"bibr1-1742271X20935911","doi-asserted-by":"publisher","DOI":"10.1177\/1742271X19876087"},{"key":"bibr2-1742271X20935911","first-page":"255","volume":"74","author":"Simpson R","year":"2001","journal-title":"Psychol Psychother"},{"key":"bibr3-1742271X20935911","doi-asserted-by":"publisher","DOI":"10.1016\/S1526-9523(03)00490-2"},{"key":"bibr4-1742271X20935911","doi-asserted-by":"publisher","DOI":"10.1002\/sono.12213"},{"key":"bibr5-1742271X20935911","unstructured":"British Medical Ultrasound Society. BMUS Guidelines for Professional Ultrasound Practice Revised, www.bmus.org\/static\/uploads\/resources\/SCoR__BMUS_Guidelines_for_Professional_Ultrasound_Practice_Revised_Jan_2018.pdf (2018, accessed 10 August 2018)."},{"key":"bibr6-1742271X20935911","unstructured":"American College of Radiology. American College of Radiology (ARC) Practice Parameter for Communication of Diagnostic Imaging Findings, www.acr.org\/-\/media\/ACR\/Files\/Practice-Parameters\/communicationdiag.pdf?la=en (2014, accessed 17December 2018)."},{"key":"bibr7-1742271X20935911","doi-asserted-by":"publisher","DOI":"10.1080\/2331205X.2017.1373903"},{"key":"bibr8-1742271X20935911","doi-asserted-by":"publisher","DOI":"10.1002\/sono.12081"},{"key":"bibr9-1742271X20935911","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-023579"},{"key":"bibr10-1742271X20935911","doi-asserted-by":"publisher","DOI":"10.1093\/jjco\/hyn159"},{"key":"bibr11-1742271X20935911","doi-asserted-by":"publisher","DOI":"10.1634\/theoncologist.5-4-302"},{"key":"bibr12-1742271X20935911","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-14-363"},{"key":"bibr13-1742271X20935911","doi-asserted-by":"publisher","DOI":"10.1016\/j.srhc.2017.12.001"},{"key":"bibr14-1742271X20935911","doi-asserted-by":"publisher","DOI":"10.1177\/875647902236840"},{"key":"bibr15-1742271X20935911","unstructured":"Society and College of Radiographers. Sonographer workforce survey analysis, www.sor.org\/printpdf\/book\/export\/html\/11716 (2014, accessed 9 July 2018)."},{"key":"bibr16-1742271X20935911","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2013.10.021"},{"key":"bibr17-1742271X20935911","doi-asserted-by":"publisher","DOI":"10.1177\/1742271X18816535"},{"key":"bibr18-1742271X20935911","doi-asserted-by":"publisher","DOI":"10.1016\/j.srhc.2010.01.002"},{"key":"bibr19-1742271X20935911","doi-asserted-by":"publisher","DOI":"10.1177\/1074840718772808"},{"key":"bibr20-1742271X20935911","doi-asserted-by":"publisher","DOI":"10.1179\/1753807615Y.0000000001"},{"key":"bibr21-1742271X20935911","unstructured":"Public Health England. Screening tests for you and your baby: description in brief, www.gov.uk\/government\/publications\/screening-tests-for-you-and-your-baby-description-in-brief (2019, accessed 13 December 2019)."},{"key":"bibr22-1742271X20935911","doi-asserted-by":"publisher","DOI":"10.1037\/xge0000586"},{"key":"bibr23-1742271X20935911","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2019.08.024"},{"key":"bibr24-1742271X20935911","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2016.04.007"},{"key":"bibr25-1742271X20935911","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-0705.1994.04020124.x"},{"key":"bibr26-1742271X20935911","doi-asserted-by":"publisher","DOI":"10.1111\/1754-9485.12547"},{"key":"bibr27-1742271X20935911","first-page":"3","volume":"4","author":"Ugwu AC","year":"2009","journal-title":"Int J Med Update"},{"key":"bibr28-1742271X20935911","unstructured":"Centre for Workforce Intelligence. Securing the future workforce supply: sonography workforce review, https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/597697\/Sonography_workforce_review.pdf (2017, accessed 5 October 2018)."},{"key":"bibr29-1742271X20935911","unstructured":"Australian and New Zealand Standard Classification of Occupations. Sonographer Occupational Reports, https:\/\/docs.jobs.gov.au\/collections\/sonographer-occupational-reports (2017, accessed 26 June 2018)."},{"key":"bibr30-1742271X20935911","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000002308"},{"key":"bibr31-1742271X20935911","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare4030036"},{"key":"bibr32-1742271X20935911","doi-asserted-by":"publisher","DOI":"10.1002\/chp.1340240506"}],"container-title":["Ultrasound"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1742271X20935911","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1742271X20935911","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1742271X20935911","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T07:49:45Z","timestamp":1777708185000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1742271X20935911"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8,4]]},"references-count":32,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,11]]}},"alternative-id":["10.1177\/1742271X20935911"],"URL":"https:\/\/doi.org\/10.1177\/1742271x20935911","relation":{},"ISSN":["1742-271X","1743-1344"],"issn-type":[{"value":"1742-271X","type":"print"},{"value":"1743-1344","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,8,4]]}}}